Individual
MR. PAUL W DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTIAN
Contact information
Practice address
108 22ND AVE SW, OLYMPIA, WA 98501-2871
(360) 352-3140
Mailing address
108 22ND AVE SW, OLYMPIA, WA 98501-2871
(360) 352-3140
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00000478
WA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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